ESBD_387541_1734731765248_SOL_EXH_F.4_25R0007108_956-85_DDA.pdf
PDF 880 KB Posted
- Attached to
- BIOMETRIC HEALTH MONITORING
- Solicitation number
- 405-25R0007108
- Issued by
- Travis County, Texas
About this file
This is a Direct Deposit Authorization form from the State of Texas used by vendors, individual recipients, or state employees to receive payments or modify existing direct deposit information. The form contains sections for transaction types, payee identification, new account information, existing account information, international payments verification, and authorization details. No specific response dates, quantities, or contract terms are included as this is a standard administrative form.
The form requires detailed banking information including routing numbers and account numbers, with options for both checking and savings accounts. It includes verification requirements for international payments through Form 74-227 if applicable. The form must be completed by financial institutions and requires authorization signatures from both the payee and state agency representatives. Contact information is provided for questions, directing state employees to their HR department, vendors/recipients to accounts payable staff, and state agencies to Fiscal Management Payment Services at 512-936-8138.
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